| NPI | 1902553308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVY CARR Provider 832-215-8356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2022-03-04 |
| Last Update Date | 2022-03-15 |